Update on Cardiac Surgery at St Francis

Robert Poston, MDChairman, Cardiothoracic Surgery

Mortality Mortality and Morbidity0

0.5

1

1.5

2

2.5

3

3.5

Outcomes for Heart Bypass at St FrancisFeb ‘15 – March ‘16

(n=204)15%

14.5

14

13.5

13

12.5

12

3%

2.5

2

1.5

1

0.5

0

Observed

Expected

O/E0.88

O/E0.94

stroke deep SWI0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

1.8

Highly Morbid ComplicationsAfter Bypass at St. Francis

Feb ‘15 to March ‘16 (n=204)

SFMC OLOL STS

0% 0%

return to OR renal failure prolonged vent0

2

4

6

8

10

12

14

Other Major Complications After Bypass at St. Francis

Feb ‘15 to March ‘16 (n=204)

SFMC OLOL STS

% receiving RBC0

2

4

6

8

10

12

14

16

Blood Transfusions After Bypass at St. Francis

Feb ’15 to March ‘16 (n=204)

SFMC OLOL STS

45%

42.5

40

37.5

35

32.5

30

27.5

Mortality Mort&Morb0

2

4

6

8

10

12

14

16

18

Outcomes for All Cardiac Surgical Cases Done at St. Francis

Feb ‘15 to March ‘16 (n=247)

Observed Expected

O/E1.25

O/E0.96

Expectations

Time

Performance

Low

High

Low

High

Disillusionment

1st case …Nth caseRobotic program

introduced

Learning curve

Status quo

Life Cycle of Innovation